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At the end of the last episode we saw a number of doctors at Seattle Grace in a crashed plane. Now comes the aftermath.

In this opening scene from the episode, we get a look at the horrifying circumstances following the crash. After an opening shot that more than resembles the first scene of Lost, there are basically five people in trouble.

-Lexie is trapped in the rubble and is in serious danger.-Derek's arm is trapped and he apparently crushes his hand with a rock to free himself. That can't be good for a surgeon.-Arizona can see her bone, which is funny because she's married to an orthopedic surgeon.-The pilot is paralyzed (and will soon be taken by the Black Smoke Monster).-Cristina lost her shoe.

This video is not for the squeamish, so be warned. But it is intense and promises to start one of the show's best hours ever.